Eurasia SUMMER CAMPS 2017 ENROLLMENT FORMS Content: Application Form Social Media Permission Form Arrival & Departure Form
Application Form for Summer Camps 2017 Participant Information EURASIA-ID First Name(s) Surname m f Date of Birth Place of Birth passport photo Address (street, block, no. of house, etc. ) City Postcode Country + 2 colour photos E-mail I hereby confirm my wish to participate in the following summer programme: Summer Camp in Wandlitz (10-days basic) 1,500 Summer Camp in Wandlitz + 4-day trip around Germany 2,000 Summer Camp in Wandlitz + 4-day trip to Vienna/Austria 2,250 German Soccer Camp 2,500 Accommodation Deposit (for all Camps) 100 page 1 Will be returned to you on the day of your departure, in case no damage has been caused by you in the accommodation Services included in all Camps: During the Camp: Pre-arrival support: Accommodation (according to the chosen programme) Full Board Health, accident & liability insurance Airport transfer & public transport pass Tutor (one for a group of 10 children) Entrance fees and local travelling expenses Activities program and tours (according to the chosen programme) Course material Certificate German language course (according to the chosen programme) Total fee Visa documentation (for non-eu students) Provisional insurance coverage Courier charge Including 50 non-refundable registration fee I confirm with my signature that I am in agreement with the terms and conditions of this contract overleaf and am able and willing to pay all fees as set out in the terms and conditions (see page 3). Signature Participant Signature (or of parent/guardian if under 18 years old) info@eurasia-institute.com www.eurasia-institute.com 2
Emergency contact person (parent or guardian) First Name(s) Surname f m Date of Birth Place of Birth Address (street, block, no. of house, etc. ) Relationship to participant City Postcode E-mail Telephone Country Optional services Does the participant have special dietary needs / intolerances to food,? (if yes please specify) Does the participanthave any disabilities? (if yes please specify) Does the participant need to take any medication? Swimming assessment Non-Swimmer (unable to swim) page 2 I authorize my child to participate in swimming activities Beginner (has some limited swimming skills) Intermediate (average swimming ability) My child cannot swim and is not allowed to participate in any Advanced (skilled swimmer) water sports or swimming activities Shoe size Country Shoe size USA England Europe 6 3.5 36 6.5 4 37 7 4.5 37.5 7.5 5 38 8 5.5 38.5 8.5 6 39 9 6.5 40 9.5 7 40.5 10 7.5 41 10.5 8 42 11 8.5 42.2 Questions for Soccer Camp Applicants What is your age? How many years have you been playing fotball? Are you a member of a local football club in your home country? How often do you train each week? 1 per week 2-3 times per week Do you play for your school team? yes no 4-5 times a week Do you have any injuries? Which skills would you particularly like to train? What is the size of your soccer kit? S M L I confirm with my signature that all information on this form is true and complete to the best of my knowledge. Signature Participant Signature (or of parent/guardian if under 18 years old) info@eurasia-institute.com www.eurasia-institute.com 3
3. Conditions of Application 1. Parties of Contract a. EIIE EURASIA Institute for International Education, registered as a a. On receipt of the application form, EURASIA will issue an invoice to the private supplementary school with the Berlin Senate according to applicant and confirm the booking. After confirmation of booking, the 102 of the Berlin Schools Act at the address Obentrautstraße 72, 10963 applicant should transfer full fees to the account of EURASIA within 7 days. Berlin, Germany and represented by the Directors, Andrew Geddes and The final confirmation along with documents necessary for visa application (where applicable) will then be sent to the applicant by courier. Gerd Schneider. b. Student intending to apply for German language preparatory course and b. (Non-EU only) In the case of visa refusal EURASIA will make an appeal, if this fails then all fees paid will be refunded provided that the visa was German university application. 2. Rules and Regulations refused in written form by the German Embassy or Consulate after The participant agrees to respect the following rules and regulations deduction of the application fees, appeal fee, courier fees and bank concerning the summer camp and is aware that the school reserves the right charges. In order to make the refund we require the original letter of to take disciplinary action in the case of these rules and regulations not refusal from the embassy, a copy of the student s passport with all relevant being respected: pages and all original documents given to the student for visa application. a. The school accepts responsibility for taking care of the participants 4.1. In the case of cancellation for any other reasons apart from visa during the summer school. The summer school begins with the airport refusal, the following charges will be made: 35% of total fees up to 30 transfer and ends once the participant has entered immigration at the days before, 80% up to 15 days before and 100% up to 7 days before airport to leave Berlin. Legal minors will be accompanied at all times during the day. It is not permitted for legal minors to leave the group or commencement of the course. 4. Validity of Contract their group leader at any time. Should the participant leave the group of This contract is valid from the date of signing by the student or by guardian their own accord without permission, the school will no longer accept in case of legal minors. Should any disputes arise out of this contract, such responsibility. disputes will be regulated according to German law. Place of jurisdiction is b. Juniors who are living with a host family will not be accompanied coming Berlin, Germany. to school and going back home after special activities and will be responsible for their own safety here. If an escort is required, then this I confirm with my signature that I am in agreement with the terms and conditions must be mentioned in the application form under general information. of this contract overleaf and am able and willing to pay all fees as set out in the An extra charge will be made for this service at 30 per day. terms and conditions c. The school will provide accommodation which will meet normal standards of cleanliness expected in a normal German household and full-board. Three German meals will be served every day breakfast, lunch and dinner. Pupils will be accompanied during meals. Special dietary needs MUST be written in detail in this contract failure to do so will mean page 3 that EURASIA cannot guarantee meeting these needs. Eurasia can t be held responsible for the liability or lost money and valuables. There is no laundry service included in the hostel. Participants are responsible to keep their hostel room clean and organizid. Eurasia reserves the right to check the condition of the rooms without notice. d. The lesson plan will be given to the pupils on arrival. Lessons are in the morning and/or afternoon. All participants must come punctually to the lessons. In the case of sickness, a call should be made immediately to the school so that the parents can be informed and consulted. Lunch will be at the end of morning classes and before afternoon classes or project work. Afternoon activities begin at 2 pm. There will be at least one afternoon activity every day and at least one full-day excursion on each weekend. The daily programme will end at 5 pm or 6 pm depending on the nature and location of activities as well as on the weather. Evening activities will be offered on some days only. In all cases, the pupils MUST return home before midnight. The preliminary programme will be released after confirmation of booking. EURASIA reserves the right to make alterations in the programme and adjustments to the timetable. e. All students must have a valid travel insurance including liability, health and accident insurance without any excess. This policy is provided by EURASIA. All information relating to medical conditions relating to the health and safety of the participant must be given to EURASIA in writing on this form when making the booking. In the case of important information not being given to EURASIA, the school cannot accept any responsibility for the consequences. f. The use of alcohol, drugs and tobacco by the participants is not permitted at any time. 4 Signature
Social Media Permission Form I consent that the EIIE EURASIA Institute for International Education GmbH may use photographs or video of me, taken on the dates indicated below, on their social media tools which includes but is not limited to their Facebook page. For full-aged participants male female Surname Name Date of Birth (day/month/year) Email Signature For minor participants Participants Information Date of Birth (day/month/year) Telefon male female Email Guardians Information Date of Birth (day/month/year) Telefon info@eurasia-institute.com www.eurasia-institute.com male female Email Signature of the Guardian
Arrival form for Summer Camps 2017 Please send this completed and signed form (scan) by Email to: arrivals@eurasia-institute.eu or by fax to: 0049 30 43 72 72 11 99 This form must be received by EURASIA 15 working days before you arrive in Berlin. EURASIA Emergency contact number: 0049 157 52415742 Personal Details EURASIA Representative EURASIA ID Gender: Passport number Student Email Student mobile number Emergency contact number m f Please bring your passport and one copy of it along with you to Germany! Arrival Details Arrival at airport TXL (Berlin Tegel) SXF (Berlin Schönefeld) Arrival time: (24h clock: e.g. 19:30) Arrival date in Berlin Departing from Flight number Different place of arrival Departure Details Departure time (24h clock: e.g. 19:30) Departure date Departing from Flight number Conditions of service and declaration The EIIE Eurasia Institute for International Education GmbH will not take any responsibility, if any of the conditions listed below are not met: 1. You must accept your offer, pay your tuition fees, have confirmed flight details, and your visa must be issued prior to requesting this service. 2. This form must be received by EURASIA 15 working days before you arrive in Berlin. Service will not be guaranteed if the form is not submitted in time. 3. Incomplete forms will not be processed. 4. Notify EURASIA if any details stated on this form change. 5. If you have any questions please call us at 0049 30 43 72 72 11 0 (Student Services) Signature 6